The features of paediatric head trauma are well described. This article aims to highlight review areas and 'do not miss' lesions over and above the known and easily recognised injuries often sought when analysing computed tomography (CT) brains for head injury. Particular attention is paid to fractures and three-dimensional (3D) imaging. Emphasis is also placed on bridging vein thrombosis, retroclival hematomas and corpus callosum injuries.